Screening for major depression disorders in adolescent medical outpatients with the Beck Depression Inventory for Primary Care. 1999

L B Winter, and R A Steer, and L Jones-Hicks, and A T Beck
Department of Pediatrics, School of Osteopathic Medicine, University of Medicine and Dentistry of New Jersey, Stratford, USA.

OBJECTIVE To ascertain the psychometric characteristics of the Beck Depression Inventory for Primary Care (BDI-PC) among adolescents (12-17 years old) scheduled for health maintenance examinations, and to determine the effectiveness of the BDI-PC in screening the adolescents for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, major depression disorders (MDD). METHODS The BDI-PC was administered to 50 male and 50 female adolescents who received pediatric health maintenance examinations. The diagnosis of MDD was established with the Mood Module from the Primary Care Evaluation of Mental Disorders. RESULTS The internal consistency of the BDI-PC was high (Cronbach alpha = .88), and it was not significantly associated with gender, ethnicity, age, or having a medical disorder. A cutoff score of > or = 4 had both 91% sensitivity and specificity rates for identifying adolescents with and without MDD. CONCLUSIONS The BDI-PC is a useful instrument for screening for clinical depression in adolescents receiving routine medical examinations.

UI MeSH Term Description Entries
D008297 Male Males
D008403 Mass Screening Organized periodic procedures performed on large groups of people for the purpose of detecting disease. Screening,Mass Screenings,Screening, Mass,Screenings,Screenings, Mass
D010045 Outpatients Persons who receive ambulatory care at an outpatient department or clinic without room and board being provided. Out-patients,Out patients,Out-patient,Outpatient
D011237 Predictive Value of Tests In screening and diagnostic tests, the probability that a person with a positive test is a true positive (i.e., has the disease), is referred to as the predictive value of a positive test; whereas, the predictive value of a negative test is the probability that the person with a negative test does not have the disease. Predictive value is related to the sensitivity and specificity of the test. Negative Predictive Value,Positive Predictive Value,Predictive Value Of Test,Predictive Values Of Tests,Negative Predictive Values,Positive Predictive Values,Predictive Value, Negative,Predictive Value, Positive
D011569 Psychiatric Status Rating Scales Standardized procedures utilizing rating scales or interview schedules carried out by health personnel for evaluating the degree of mental illness. Factor Construct Rating Scales (FCRS),Katz Adjustment Scales,Lorr's Inpatient Multidimensional Psychiatric Rating Scale,Wittenborn Scales,Edinburgh Postnatal Depression Scale,Mini International Neuropsychiatric Interview
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D003863 Depression Depressive states usually of moderate intensity in contrast with MAJOR DEPRESSIVE DISORDER present in neurotic and psychotic disorders. Depressive Symptoms,Emotional Depression,Depression, Emotional,Depressive Symptom,Symptom, Depressive
D005069 Evaluation Studies as Topic Works about studies that determine the effectiveness or value of processes, personnel, and equipment, or the material on conducting such studies. Critique,Evaluation Indexes,Evaluation Methodology,Evaluation Report,Evaluation Research,Methodology, Evaluation,Pre-Post Tests,Qualitative Evaluation,Quantitative Evaluation,Theoretical Effectiveness,Use-Effectiveness,Critiques,Effectiveness, Theoretical,Evaluation Methodologies,Evaluation Reports,Evaluation, Qualitative,Evaluation, Quantitative,Evaluations, Qualitative,Evaluations, Quantitative,Indexes, Evaluation,Methodologies, Evaluation,Pre Post Tests,Pre-Post Test,Qualitative Evaluations,Quantitative Evaluations,Report, Evaluation,Reports, Evaluation,Research, Evaluation,Test, Pre-Post,Tests, Pre-Post,Use Effectiveness
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

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